In recent years, neurocritical care has grown and matured as a subspecialty of Critical Care Medicine with the advent of new monitoring, diagnostic, and therapeutic capabilities. The goal of neurocritical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrama, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.

Pierre Pfutsch zeigt, dass mit dem Notfallsanitatergesetz aus dem Jahr 2014 die berufliche Tatigkeit im Rettungsdienst stark aufgewertet wurde. Den Berufsangehoerigen wurde eine dreijahrige Ausbildung, die Moeglichkeit zur akademischen Bildung und sogar die Ausubung bestimmter heilkundlicher Massnahmen zugestanden. Nach Ansicht des Autors wird seitdem die Frage nach Delegation bzw. Substitution arztlicher Leistungen verhandelt. Zu Beginn waren Rettungssanitater zum uberwiegenden Teil ehrenamtliche Mitarbeiter, die kaum mehr als eine Erste-Hilfe-Ausbildung besassen und lediglich fur den Transport zustandig waren. Aufgrund des medizinischen Fortschritts und der steigenden Unfallzahlen im Strassenverkehr setzte Ende der 1960er-Jahre eine Professionalisierung dieses Berufsfeldes ein. Treffen Notfallsanitater vor dem Notarzt am Unfallort ein und mussen bei lebensbedrohlichen Zustanden tatig werden, begeben sie sich in eine juristische Grauzone, die einige Unsicherheiten mit sich bringt. Der Autor: Dr. Pierre Pfutsch ist Historiker und wissenschaftlicher Mitarbeiter am Institut fur Geschichte der Medizin der Robert Bosch Stiftung in Stuttgart und forscht dort zur deutsch-deutschen Zeitgeschichte von Gesundheitsberufen.

OSCE Questions for the Primary FRCA is a key resource for candidates preparing for this unique exam. Containing over 100 Objective Structured Clinical Examinations (OSCE) style questions directly mapped to the syllabus set by the Royal College of Anaesthetists, this resource is the perfect revision tool. Each chapter contains key questions on the main FRCA subject areas, such as 'Anatomy', 'Hazards' and 'Equipment' to ensure candidates can revise commonly tested knowledge. All questions are supported by detailed answers and further reading for efficient and comprehensive revision. The 'Mock OSCE' chapter at the end of the book presents the reader with 10 OSCE style questions followed by all answers, ensuring the reader has, not only the knowledge to the pass the exam, but can practice the technique and approach required for success in this exam. Written by successful candidates, OSCE Questions for the Primary FRCA is the perfect revision aid for candidates facing this difficult exam.

Preparing to Pass the FRCA: Strategies for Exam Success equips you with the skills of effective revision and time management to maximise your success. The book takes each element of the FRCA exam and provides tips and techniques on how to approach the different types of questions, and includes worked examples with answers, so that you can undertake your revision accordingly. It will help you to target your revision so you can cover the breadth of topics in the FRCA syllabus and ensure that you structure your revision in an efficient way, as well as helping you to approach the exam and convey your knowledge through writing or speech correctly. Taking many common problems candidates face when preparing for this exam, the book covers motivation, effective studying, managing nerves, and scheduling time to study amongst other commitments.

This is the ultimate revision guide for candidates who are preparing to take the European Diploma in Anaesthesiology and Intensive Care (EDAIC) Part I and Part II examinations. This resource provides 303 practice questions and model answers for a complete guide to both parts of the examination. For Part I: Paper A, there are 135 example questions and model answers on physiology, pharmacology, anatomy, physics, and statistics. For Part I: Paper B, another 127 example questions and model answers cover general anaesthesia, regional anaesthesia, special anaesthesia, intensive care, internal medicine, and emergency medicine. To help candidates prepare for the Part II: the Oral part of the exam, there are five SOE-type questions and detailed worked answers addressing applied physiology, applied pharmacology, applied anatomy, clinical measurement, general anaesthesia, critical incidents, intensive care, and image interpretation for a total of 41 practice questions. Written by top quality authors who are or were previously experienced examiners within the European Society of Anesthesiology and Intensive Care (ESAIC), this is an authoritative guide to the EDAIC exam.

Preparing for the Primary FRCA? Wondering what to expect of the new SBA questions? Help is at hand. This practical book contains 60 single best answer and 120 multiple true/false questions to help you revise for the Primary FRCA MCQ exam. Each question is accompanied by detailed explanations, giving additional information on each topic to enhance revision. SBA and MTF MCQs for the Primary FRCA may be used both for examination practice and as a source of knowledge on many of the key topics in the syllabus. A helpful introductory section gives practical advice on how to approach revision and sitting the exam. From the writing team behind the FRCAQ website (www.frcaq.com), SAQs for the Final FRCA and SBAs for the Final FRCA, this book provides challenging questions and well researched explanations to help you through the Primary FRCA MCQ paper. An invaluable tool for your MCQ exam preparation.

Based around the core curriculum for specialist trainees, Oxford Case Histories in Anaesthesia contains over 60 clinical cases compiled by expert consultants. The cases comprehensively cover all sub-specialties and a broad range of variations that occur in normal and abnormal physiology, pharmacology and pathology, as well as patient age. The cases have been selected with reference to the revised Curriculum for a Certificate of Completion of Training in Anaesthesia set by the Royal College of Anaesthetists. Each case begins with clear learning outcomes and is mapped to the CCT matrix, greatly aiding those revising for the Final FRCA examination. The cases are presented with a background to the subject area, and a summary of the history and examination findings with relevant investigation results. This is followed by several questions on clinically important aspects of the case with answers and detailed discussion, particularly of the differential management options. Further reading at the end of each case aids future study. As well as those preparing for the Final FRCA, this book will also be of interest for post-fellowship trainees on specialty attachments and those who occasionally have to anaesthetize out with their normal field of practice, for example in subspecialty emergencies or whilst awaiting retrieval teams to arrive for transfer to tertiary care centres.

Intensivmedizin zum Nachschlagen und Lernen fur die Zusatzbezeichnung "Intensivmedizin". Das Repetitorium Intensivmedizin stellt das Fach der Intensivmedizin kompakt und fundiert dar und gehoert in die Reihe der Repetitorien, die sich hervorragend zur Prufungsvorbereitung oder Beantwortung von Fragen im Klinikalltag eignen. Alle Inhalte sind systematisch und ubersichtlich dargestellt und klar und pragnant in den Aussagen. Zahlreiche Schemazeichnungen und Tabellen erleichtern das Verstandnis und bundeln Informationen. Das Werk erscheint bereits in der 5. Auflage. Dieses ist komplett aktualisiert und erscheint in neuem Layout. Das Werk richtet sich an alle auf einer Intensivstation tatigen AErzte.

The role of the operating department practitioner has evolved considerably in recent years, and both trainee and practising ODPs need a practical, up-to-date resource on terminology and current practice. Each entry in the second edition of Operating Department Practice A-Z has been fully updated and contains both a short definition and a more detailed description of the term or procedure, with supporting information to give the reader a deeper understanding of the field. In addition, the book contains useful appendices on medical terminology and abbreviations, normal values, medical and scientific symbols, and a list of useful websites for further reference. Written by two of the UK's most experienced Operating Department Practice lecturers, Operating Department Practice A-Z, second edition provides practical, concise information for all peri-operative staff members.

Pediatric anesthesiologists will encounter numerous challenges when caring for children, as their work involves more than simply adjusting drug dosages and equipment for smaller patients. In response, this practical book provides clinical guidance in an easily accessible and digestible question-answer format. Case Studies in Pediatric Anesthesia reviews the entire breadth of pediatric anesthesia and pain management, taking a case-based approach. Each chapter commences with a clinical case or scenario, guiding the reader through a tailored discussion. The chapters review the pathophysiology, anesthetic techniques, and surgical and perioperative considerations. High quality tables and figures feature throughout to help solidify key concepts. The chapters are prepared to be read in isolation and for reference when appropriate. Case Studies in Pediatric Anesthesia is aimed at anesthesiologists of all levels, from the trainee on their first pediatric rotation, to the pediatric fellow preparing for boards examination to the seasoned clinician.

This essential handbook provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting and this book helps critical care staff identify patients at risk, how to manage them, and be prepared. To help the reader find advice quickly, most chapters begin with a generic description of how to manage emergencies affecting that system, or patient group. This is followed by details of specific diagnoses and how they should be managed. The author team, where possible, follow the 'ABC' approach, which is not only the standard approach to emergency management, but also a widely-used scheme for documenting daily reviews on ICU, and for documenting trauma management. This second edition covers new areas of importance, including sections on how to deal with adverse events and critical incidents involving critically ill patients, patient-safety and improved patient rescue packages, and on the practicalities of infection control procedures. Normal values have been combined in to one short chapter for easy reference. Easy to use and evidence-based, this book will help all critical care staff involved with the management of emergencies, from the new junior doctor to the experienced consultant in a portable and easily-readable format.

Structured Oral Examination Practice for the Final FRCA offers well-researched, relevant, and carefully constructed questions with evidence-based answers. The book specifically addresses the new clinical emphasis in the FRCA examination, giving candidates an insight into the way the viva works, offering general guidance on examination techniques, and providing readily accessible information relating to a wide range of potential questions. The book is organized into 16 chapters, each offering trainees and trainers complete examinations as in the real structured oral examination, covering around 70 relevant topics. Each chapter includes clinical anaesthesia and basic science broadly organized into the six areas covered by the exam: long-cases, short-cases, applied anatomy, physiology, pharmacology and clinical measurement. The book also includes a hot topics chapter addressing recent advances beloved of examiners.

A good knowledge of physics, measurement, and equipment is essential for practising anaesthetists. However, these subjects do present considerable problems because few anaesthetists have any background in physics. This book explains the physical principles and applications of physics in anaesthesia, and the statistical methods that anaesthetists are required to understand. The book includes sections on equipment and safety in anaesthesia, and electrical safety. Fully updated for the second edition, the book also includes new chapters on the depth of anaesthesia and on electrical safety.
The contents are based on the syllabus of the FRCA exam in mathematics, physics, clinical measurement, monitoring, and equipment. The book starts with mathematics, statistics and physics background, not only to enhance the understanding for what follows in the book, but also because these basic sciences are fundamental to many other aspects of medical science. Areas, which in the authors' teaching experience, candidates have found particularly troublesome, such as electricity and electrical safety, are discussed in some detail in order to clarify.

Physics for the Anaesthetic Viva is a succinct and practical text that comprehensively covers all aspects of the physics and clinical measurement curriculum for the FRCA examinations. Each section begins by explaining the basic science concepts, which are then expanded and related to everyday practice. Illustrations are used to enhance understanding of the concepts, and are presented in such a way as to be easy to reproduce in the exam setting. In addition, sample viva questions are provided at the end of each chapter to test learning, or for use in a mock viva session. Written by trainees for trainees, this book provides exactly what you need to pass the exam.

This book provides anesthetists, intensivists and other critical care staff with a comprehensive resource that offers ways of improving communication in everyday clinical practice, and provides practical communication tools that can be used in difficult or unfamiliar circumstances. It demonstrates how communication can be structured to improve patient care and safety with numerous practical examples and vignettes illustrating how the concepts discussed can be integrated into clinical practice, and presents ideas in a way that enhances clinical interactions with patients and colleagues and facilitate the teaching of trainees.
Edited by practicing anesthetists with particular expertise in teaching communication, and with contributions from expert clinicians based in North America, Europe and Australasia, this book will stimulate and complement the development of comprehensive resources for communication skills teaching in anesthesia and other related professional groups.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them.
This highly practical book is the only guide needed to the procedures and techniques commonly used in anesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.
This book will be used by all junior trainees in anesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

"Designed specifically for the revised Primary FRCA examination, this book contains true/false multiple choice questions. It is divided into the three specific areas outlined in the FRCA curriculum: physics and measurement, physiology, and pharmacology. Each section includes a brief introduction, 170 mcqs and answers with explanations.Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing you to read more on difficult areas. The author team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Primary FRCA. This is a must buy when preparing for this key exam"--Provided by publisher.

Management of a patient with a difficult airway has undergone significant changes in recent years with the introduction of both new guideliens and equipment. Chapters cover basic topics such as recognition of a difficult airway and general principles of management. Subsequent chapters move onto more complicated topics such as the "anticipated" and "unanticipated" difficult airway scenarios. New equipment is outlined and reviewed, and a chapter focuses on extubation and its importance. The book also includes a chapter on management in common clinical settings and a separate chapter covers pediatric airway management.
This book summarizes the most up-to-date literature in a style that has direct clinical application to busy healthcare professionals. Designed to give readers a greater insight into the management of difficult airway as a clinical entity, this pocketbook is the ideal reference guide.

Part of the popular Core Topics series, this book provides a practical guide to pre-operative assessment for consultants and trainee anaesthetists. Chapters cover comprehensive evidence-based guidance for assessing and managing patients with particular conditions, as well as perioperative risk stratification and challenges of pre-assessment. The chapters have been written by specialists in the respective clinical fields, while all content has been edited by anaesthetists to assure it is relevant and accessible to the anaesthetist in the everyday pre-operative clinic. Written specifically for anaesthetists, this resource will allow every reader to contribute effectively in a multidisciplinary approach when assessing and risk stratifying patients to ensure that they are optimised before surgery.

Mechanical ventilation is an essential life-sustaining therapy for many critically-ill patients. As technology has evolved, clinicians have been presented with an increasing number of ventilator options as well as an ever-expanding and confusing list of terms, abbreviations, and acronyms. Unfortunately, this has made it extremely difficult for clinicians at all levels of training to truly understand mechanical ventilation and to optimally manage patients with respiratory failure. Mechanical Ventilation was written to address these problems. This handbook provides students, residents, fellows, and practicing physicians with a clear explanation of essential physiology, terms and acronyms, and ventilator modes and breath types. It describes how mechanical ventilators work and explains clearly and concisely how to write ventilator orders, how to manage patients with many different causes of respiratory failure, how to "wean" patients from the ventilator, and much more. Mechanical Ventilation is meant to be carried and used at the bedside and to allow everyone who cares for critically-ill patients to master this essential therapy.

Die Veranderungen im Gesundheitswesen bewirken einen enormen Druck auf die Krankenhauser, so effizient wie moglich zu arbeiten.

Das Praxishandbuch fur die Funktionsdienste OP und Anasthesie unterstutzt Pflegende, damit sie den neuen Anforderungen gerecht werden konnen.

Die Operationsabteilung ist mit Personaleinsatz und kostenintensivem Materialbedarf der betriebswirtschaftlich teuerste Bereich der Krankenhauser. Bei einem chirurgisch versorgten Patienten entstehen allein 30% der Gesamtkosten im OP. Damit entscheidet die Leistungsfahigkeit des OP-Bereiches wesentlich den finanziellen Erfolg eines Krankenhauses im DRG-System. Um Kosten zu senken, mussen Schnittstellen zu "Nahtstellen" werden. Dies ist besonders im Bereich der standardisierten Operationen moglich und OP- und Anasthesiepflegepersonal muss sich daher interdisziplinar weiterbilden. "

With medication errors in healthcare an internationally recognised problem, this much-needed book delivers a comprehensive approach to understanding medication safety in the perioperative period. It reviews what medication adverse events are, and how often and where these errors occur, as well as exploring human cognitive psychology and explaining why things can go wrong at any time in a complex system. Detailed discussions around mistakes, judgement errors, slips and lapses, and violations, are presented alongside real-life examples of the indistinct line between negligence and inevitable error. The co-authors bring a wide and practical perspective to the theories and interventions that are available to improve medication safety, including legal and regulatory actions that further or impede safety. Essential reading for anesthesiologists, nurses, pharmacists and other perioperative team members committed to improving medication safety for their patients, and also an invaluable resource for those who fund, manage and regulate healthcare.

Das vorliegende Werk gibt einen aktuellen UEberblick uber die wichtigsten POCT-Analyseverfahren und POCT-Gerate sowie deren klinische Anwendung. Daruber hinaus liefert es Informationen, u.a. zu medizinischer und wirtschaftlicher Bedeutung von POCT, Methodik, Organisation, Qualitatssicherung und den Trends fur die Zukunft. Die 3. Auflage wurde komplett aktualisiert und erweitert und tragt den neuesten Entwicklungen auf dem Gebiet Rechnung. Neue Themen sind u.a. POCT-taugliche molekularbiologische Verfahren und der internationale Vergleich der Qualitatsregeln fur POCT. Das Buch wendet sich an alle, die bereits patientennahe Laboruntersuchungen durchfuhren oder zukunftig einfuhren moechten: AErzte aller Fachbereiche, POCT-Beauftragte, Verantwortungstrager in Kliniken und Krankenhausverwaltungen. Aber auch die Entwicklungsabteilungen von IVD-Unternehmen erhalten wertvolle Informationen uber Entwicklungstendenzen und die neuen Anforderungen der europaischen Gesetzgebung an POCT-Gerate und -Reagenzien.

Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardiopulmonary exercise tests (CPET) are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests, Second Edition provides readers with a practical, concise, and accessible approach to all aspects of cardiopulmonary exercise tests (CPET). CPET is often perceived as being incredibly complex to evaluate so this book breaks down interpretation to simple steps, allowing readers to rapidly understand the key points underpinning the application and interpretation of CPET. The text is focused and with the use of a substantial number of figures, learning points, and self-test questions helps readers to build confidence in undertaking and interpreting CPET. The second edition has been extended and extensively revised in line with the latest international guidelines and evidence, and includes 16 fully updated chapters, 4 new chapters, and a new section of worked examples has been added.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.